HomeMy WebLinkAbout06080171 Application
City of Carmel/Clay Township Permit #: O(QO 8()171
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PHONE
31/-705-~~7
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STREET ADDRESS
BEST METHqO ci~\cO-NI!.'q:~; -€M6~ r1A":~\~? (T~~) c~~ ,~,\ ';
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PROPERTY
OWNER:
cm
LOCATION
&. PROJECT
INFO:
LOT #
q
;
-i
130dO
SEWER UTILW ."
PROVIDER: t.:il'\
NAME OF UTILm EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
00
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
~ MULTI-FAMILY (
# of Units: n
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT: PLUMBIN CO T CTOR:.
I NEW STRUCT!JR~c UC I,.:
REL S\BQOf;jCA" i5bfu01', N(syR .p'!!!/J~ Inj3yana State Licen
'8 to~ADDm0N~j\ regul~' ,/, 8 f'j)j 3t>
Sub] ~DEL~ LD~3\ codes, _ ,
pot ACCESSOR'lI BUIUDjNGC: r~\i~lumblng codes will be applied to the construction:
o EPi!:P DETACHED' ~1~r;;.EI -, O. W~ational Residential Code w/lndiana Amendments
OF fAi'AAh11IIDG \AAGl:'
CITY 0 DEMOlltliiO~N~ ~ Unifonn Plumbing Code w/lndiana Amendments
" (MUlti-Family Construction COde)
PROlECTINFORMATION:
Early Release V' Manufactured \/. FOUNDATION TYPE: (Check all that apply for the new
Permit: _Y ~N Trusses: -A-Y _N construction area)
. 'V V 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y....lLN Sump Pump: _Y -4N ~ SLAB 0 BASEMENT /
Does any part of the property lie within a special Flood designation are.".: _ Y XN WALKOUT:_ Y ~N
For Single Family and Two Family dwellings, additio~~,!.emodel~.~4161\~~c~~:sn:u~~res, this permit is valid only if construction comme~ces
within 180 days of the date of issuance of the buildmg permit;:aIid,mu~t be/completed\(Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subjC;;Ct:to\litGeh~{ai Ad~istrai:iV~ Rhles of the State of Indiana (See 675 lAC 12) regarding expiration
time1frkhiesfo;beginning and comple'dng ~bnstruction.
I, the undersigned, agree that any construction. recd~tiJcpon, enlargeIl}..enh r~Ron. M k1t~#tion of a structure, or any change in the use of land or
structures requested by this application will comply \0!lt~a.hd co~!,W~ tiialPapfffit'ollile la:"vs.of:the State of Indiana, and the "Zoning Ordinance of Carmel
\ ' 01' 1\' '.
Indiana -199r (Z~289) and amendments, adopted uIl:der a~~ori of.c. 36~7 et seq, Gempl~Assembly of the State of Indiana, and all Acts amendatory
thereto. I further c . t at only kitchen, bath, and flObr tIrains are connected tothe'sami:ary sewer. I further certify that the construction will not be
use pie u Certificateo[ Occupancy 1Uii~.eri.'issued y he Departnnt of Community Services, Cannel, Indiana. W4
lJ0 \ __- -, 11fti': f. 'tJb i
er or Authorized Agent Print 0 I
ONLY:*******************************************************~~**************
Filing Fees: I q:. OJ I II C/O
INSPECTIONS REQUIRED: IfJO C'\ ~
Base Inspections: (jJ " Ov # Olarg~ Re-
O ReViews
Cert. of Occupancy: 3 ~ :
P.R.J.F.: '7 tt)(Pj~. " Do Additional Fees
~~k~tt7r;. O()
Fee Received by:
Reviewed/Ap roved: Dept. of Community Services
S:PermIts/FormS/ILP RESIDENTIAL
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